在LMICs中资助外科手术:为普及外科手术提供可持续和公平的系统 - - 一个叙述性审查
Chernet T Mengistie1, Samuel Mesfin Girma1, Biruk T Mengistie1
1School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
BMC surgery
|November 1, 2025
概括
在低收入和中等收入国家 (LMICs) 进行手术的融资往往出自口袋,导致不平等. 整合全民健康覆盖 (UHC) 的新兴模式显示出可持续和公平的外科系统的前景.
科学领域:
- 全球健康 全球健康
- 卫生经济学 卫生经济学
- 加强卫生系统 加强卫生系统
背景情况:
- 手术条件占全球疾病负担的重要组成部分,但在低收入和中等收入国家 (LMICs) 手术护理的资金不足.
- 目前的融资模式在很大程度上依赖于自有支付 (OOP),导致手术服务分散和优先级不足.
研究的目的:
- 分析LMICs当前的外科服务融资情况.
- 确定和评估可持续和公平的外科医疗保健系统的新兴模式.
主要方法:
- 采用了叙事综合方法,利用最近文献中的定量和定性证据.
- 世界卫生组织 (WHO) 的卫生融资框架 (营收,聚合,购买) 指导了分析.
- 引用了卢旺达和加纳等国家的案例研究,以及经济模型.
主要成果:
- 在LMICs中,口袋支付占据了外科护理融资的主导地位,政府和捐助者的贡献有限.
- 不足够的保险覆盖无法提供财务保护,导致不平等和灾难性医疗支出 (CHE).
- 有前途的模式包括战略采购,基于绩效的融资 (PBF) 和国家手术,产科和麻醉计划 (NSOAP),特别是与全民健康覆盖 (UHC) 目标保持一致时.
结论:
- 可持续的外科手术融资需要政治承诺,风险共享,预定税收,公私合作伙伴关系以及融入UHC框架.
- 改进的数据系统对于监测成本,访问和结果至关重要,以指导投资决策.
- 投资手术融资是经济上的必需品,需要为决策者,全球卫生行为者和捐助者提出战略建议,以促进公平和弹性.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:25Urinary Tract Calculi VI: Surgical Management
361
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
361
01:21Inflammatory Bowel Disease V: Surgical Management
433
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
433